<@master template="/common/master"  title="留言反馈">
  <style>
	body{ background:#f0eff4;}
   	.top{ background:#007cb8; height:.8rem; line-height:.8rem; font-size:.32rem; color:#FFF; text-align:center;}
	.fromDiv{ margin:.35rem; font-size:.24rem; color:#999;}
	.fromDiv li{ height:.4rem; line-height:.4rem; border:1px solid #cfcfcf; border-radius:.1rem; background:#FFF; margin-bottom:.25rem; padding:.15rem .2rem;}
	.fromDiv li input{ border:none; vertical-align:middle}
	.w100{ width:1.3rem; display:inline-block}
	li.noli{ border:none; padding:0; background:none; height:auto; }
	.textarea{border:1px solid #cfcfcf; padding:.1rem .2rem; width:5.25rem; height:1.5rem;}
	.btn{ background:#007cb8; width:100%; height:.76rem; line-height:.76rem; text-align:center; border-radius:.1rem; display:block; color:#FFF; font-size:.32rem; margin-top:.2rem;}
	.mb15{ margin-bottom:.15rem;}
	.red{ color:#ef0000;}
   </style>

<form id="submitFrm" method="post" action="/eascs-o2o-h5/submit/feedback">
	<div class="top">留言反馈</div>
	<div class="fromDiv">
		<p id="showMsg" class="red mb15">${errorMsg}</p>
		<ul>
			<li><span class="w100">姓名：</span><input name="uname" type="text"></li>
			<li><span class="w100">联系方式：</span><input name="mobile" type="text"></li>
			<li style="height:auto; line-height:.5rem; padding-bottom:.1rem;">
				<span class="w100">所在城市：</span>
				<span  id="city">
					<select name="province" class="prov"></select>&nbsp;<i style="color:#FFF">省 </i>
					<select name="area" class="city ml30" disabled="disabled"></select>&nbsp;<i style="color:#FFF">市</i>
				</span>
			</li>
			<li class="noli"><textarea id="feedbackDesc" name="feedbackDesc" cols="" rows="" class="textarea"></textarea></li>
		</ul>
		<p>请详细描述您的问题，有助于我们快速定位并解决 问题，或留下您宝贵的建议或意见，我们会认真的 进行评估！</p>
		<a id="submitBtn" href="#" class="btn">问题提交</a>
	</div>
</form>

</@master>
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<@js src="/js/wx/recruit/feedback.js"/><@jsRender/>